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目的:探讨鼻内镜手术治疗鼻源性头痛的疗效。方法:对125例鼻源性头痛患者进行鼻内镜、鼻窦CT检查和1%地卡因及1%麻黄素试验明确诊断,确定鼻腔鼻窦解剖结构异常的部位和程度,进行相应的鼻内镜手术矫正。结果:术后随访12个月,治愈103例,占74.4%,显效20例,占16.0%,无效2例,占1.6%,总有效率为98.4%。结论:鼻内镜手术治疗由鼻腔鼻窦的异常解剖结构或疾病引起的鼻源性头痛,恰当的手术方式,视野清晰,操作精细准确,去除病灶彻底,治疗效果良好,采取合适对应的鼻内镜手术是治疗此类头痛的行之有效的手段之一。
Objective: To investigate the efficacy of endoscopic sinus surgery for nasal headache. Methods: A total of 125 patients with nasal headache were diagnosed by nasal endoscopy, CT scan of the sinuses, 1% dexamethasine and 1% ephedrine test to determine the site and degree of anatomical abnormalities of the nasal sinuses. Corresponding endoscopic Surgery correction. Results: All cases were followed up for 12 months. 103 cases were cured, accounting for 74.4%, 20 cases were markedly effective, accounting for 16.0%, 2 cases were ineffective, accounting for 1.6%. The total effective rate was 98.4%. Conclusion: Endoscopic sinus surgery for the treatment of nasal sinus abnormalities caused by abnormal anatomy or disease of nasal headache, the appropriate surgical approach, clear vision, precise operation, removal of lesions completely, the treatment effect is good, take the appropriate corresponding endoscopic Surgery is one of the effective measures for the treatment of such headaches.